Emphysematous pyelonephritis with gas in inferior vena cava
Emphysematous pyelonephritis (EPN) is a progressive necrotizing infection of the renal parenchyma, collecting system and perinephric tissue. A 36-year female with uncontrolled diabetes, presented with left emphysematous pyelonephritis, with air in the infra-hepatic inferior vena cava (IVC). She was...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-11-01
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| Series: | Urology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214442020302795 |
| _version_ | 1828463654647889920 |
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| author | Chandra Mohan Vaddi Paidakula Ramakrishna Siddalinga Swamy Soundarya Ganesan Hemnath Anandan Manas Babu |
| author_facet | Chandra Mohan Vaddi Paidakula Ramakrishna Siddalinga Swamy Soundarya Ganesan Hemnath Anandan Manas Babu |
| author_sort | Chandra Mohan Vaddi |
| collection | DOAJ |
| description | Emphysematous pyelonephritis (EPN) is a progressive necrotizing infection of the renal parenchyma, collecting system and perinephric tissue. A 36-year female with uncontrolled diabetes, presented with left emphysematous pyelonephritis, with air in the infra-hepatic inferior vena cava (IVC). She was hydrated, treated with intravenous antibiotics, insulin. Percutaneous nephrostomy with Double J stenting was done in modified supine position. Patient was discharged with nephrostomy. Two weeks later, flexible ureterorenoscopy was done and obstructing papillary necrosis removed. Pneumo-vena cava due to emphysematous pyelonephritis is quite rare and careful evaluation is required. Prompt intervention is life saving and obviates the need for nephrectomy. |
| first_indexed | 2024-12-11T02:58:12Z |
| format | Article |
| id | doaj.art-5873f5aa2bd94b25b84919f1291fe322 |
| institution | Directory Open Access Journal |
| issn | 2214-4420 |
| language | English |
| last_indexed | 2024-12-11T02:58:12Z |
| publishDate | 2020-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Urology Case Reports |
| spelling | doaj.art-5873f5aa2bd94b25b84919f1291fe3222022-12-22T01:23:07ZengElsevierUrology Case Reports2214-44202020-11-0133101390Emphysematous pyelonephritis with gas in inferior vena cavaChandra Mohan Vaddi0Paidakula Ramakrishna1Siddalinga Swamy2Soundarya Ganesan3Hemnath Anandan4Manas Babu5Department of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaDepartment of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaDepartment of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaCorresponding author.; Department of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaDepartment of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaDepartment of Urology, Preeti Urology and Kidney Hospital, 307, Remedy Hospital Ln, MIG 1, Kukatpally Housing Board Colony, Kukatpally, Hyderabad, Telangana, 500072, IndiaEmphysematous pyelonephritis (EPN) is a progressive necrotizing infection of the renal parenchyma, collecting system and perinephric tissue. A 36-year female with uncontrolled diabetes, presented with left emphysematous pyelonephritis, with air in the infra-hepatic inferior vena cava (IVC). She was hydrated, treated with intravenous antibiotics, insulin. Percutaneous nephrostomy with Double J stenting was done in modified supine position. Patient was discharged with nephrostomy. Two weeks later, flexible ureterorenoscopy was done and obstructing papillary necrosis removed. Pneumo-vena cava due to emphysematous pyelonephritis is quite rare and careful evaluation is required. Prompt intervention is life saving and obviates the need for nephrectomy.http://www.sciencedirect.com/science/article/pii/S2214442020302795EmphysemaPyelonephritisInferior vena cavaGas |
| spellingShingle | Chandra Mohan Vaddi Paidakula Ramakrishna Siddalinga Swamy Soundarya Ganesan Hemnath Anandan Manas Babu Emphysematous pyelonephritis with gas in inferior vena cava Urology Case Reports Emphysema Pyelonephritis Inferior vena cava Gas |
| title | Emphysematous pyelonephritis with gas in inferior vena cava |
| title_full | Emphysematous pyelonephritis with gas in inferior vena cava |
| title_fullStr | Emphysematous pyelonephritis with gas in inferior vena cava |
| title_full_unstemmed | Emphysematous pyelonephritis with gas in inferior vena cava |
| title_short | Emphysematous pyelonephritis with gas in inferior vena cava |
| title_sort | emphysematous pyelonephritis with gas in inferior vena cava |
| topic | Emphysema Pyelonephritis Inferior vena cava Gas |
| url | http://www.sciencedirect.com/science/article/pii/S2214442020302795 |
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